More than 7 million non-surgical
cosmetic procedures are performed annually in the U.S., and many
millions more in Europe, India and around the world.
In growing numbers, women in New Delhi, Bangkok, New York, London,
Paris and Sydney are visiting dermatologists, aestheticians and
plastic surgeons for injections of Botox, Restylane, and other soft
tissue fillers, for laser skin treatments, for removal of tattoos,
varicose veins, and unwanted hair.
The top procedures for women are soft tissue fillers, Botox, and
chemical peels, followed by microdermabrasion, treatment of leg
veins, and laser hair removal.
Cosmetic Skin Treatments For Women
When someone tells you how well you look, and you're happy with
what you see in the mirror, it does great things for your
confidence.
Younger-looking or clearer skin can make a big difference to how
you feel about yourself. Even subtle changes can have a significant
effect.
A sympathetic cosmetic specialist understands how important your
appearance is, and has the skills to bring out the best in you.
All the Consultant Cosmetic Surgeons who operate in The Taj Medical
Group of hospitals are fully trained and experienced in the latest
techniques, and are on the specialist register of the General
Medical Council and or are American Board Certified. Your chosen
consultant will take charge of your care - from your first
consultation, through to your treatment and follow-up appointment.
Thread Veins
Thread veins are very small veins that are most commonly visible on
the cheeks, nose and legs. In some people they expand and show
through the skin, giving a red or purplish appearance. Sclerotherapy
is often used to treat thread veins in the legs. The treatment
involves injecting the thread veins with a chemical using a very
fine needle. This makes the walls of the veins stick together and
gradually disperse. Laser treatment is often used to treat thread
veins on the face. The veins absorb the laser light and are
destroyed. Lasers can cause an uneven colour on brown and black
skins, so the treatment may not be suitable for people with these
skin types.
Other treatments for thread veins include high-intensity light
treatment, which uses pulses of intense light and VeinwaveTM, a
treatment that uses a fine, heated needle. There are advantages and
disadvantages to all forms of thread vein treatment and your
specialist will advise which is most appropriate for you. However,
you will usually need a course of treatments or a combination of
treatments to achieve the best results. All procedures carry risks
as well as benefits.
Varicose Vein Treatment
Varicose veins are swollen veins (usually on the legs) that look
lumpy and bluish through the skin. They occur when the valves in the
veins become weak, allowing blood to collect in the leg veins
instead of travelling back to the heart. There are a number of
options for removing varicose veins and restoring a smoother
appearance to your legs. The most common varicose vein treatment is
an operation called ligation and stripping where your surgeon makes
a small cut in your groin at the top of the main affected vein. This
vein is tied off (ligation) and then carefully removed through the
cut (stripping). The surgeon may also remove individual smaller
veins using small cuts along the leg.
You may sometimes need to stay in hospital overnight after ligation
and stripping. Your legs will be tightly bandaged and you may need
to wear pressure stockings for one or two weeks, depending on your
consultant surgeon's advice. Your consultant surgeon will advise you
how long it will be until you can return to your normal activities.
You should also refrain from driving until you are confident that
you can perform an emergency stop without discomfort (this will
probably be at least one week).
Other options for treating varicose veins include :
- Sclerotherapy - a chemical solution is injected into small
veins.
- Microwave Treatment - a fine tube is inserted into the veins
and microwave heat is used to shrink them.
- EVLT (endovenous laser treatment) - a fine tube is inserted
into the veins and laser light is used to shrink them.
All operations carry risks as well as benefits.
Mole Removal
Moles (also called melanocytic or pigmented naevi) are areas of
pigmented skin. Raised or flat, moles can be present from birth or
can appear later in life. Most moles are harmless, but you may wish
to have a mole removed for cosmetic reasons.
Sometimes a mole has to be removed because there is a risk it has
become malignant (cancerous) or because it has become a nuisance
(for example catching on clothes or a razor).
Various methods are used to remove moles. Raised moles can be
treated with shave excision, where the mole is cut down to the level
of the surrounding skin, either using a scalpel or electro-surgery.
Flat moles or moles that are suspected to be malignant (cancerous)
are cut out entirely and then the wound is closed up with stitches.
Scar Revision
Many people feel unhappy or self-conscious about scars resulting
from an injury or a surgical procedure. Scar revision treatment aims
to improve the appearance of a scar. There are many ways to perform
scar revision surgery, depending on the size and type of scar. The
scar will not disappear after surgery. All scars are permanent. The
aim is to make your scar less noticeable. In most cases there is
about a 90% chance of improvement.
Options for scar treatment include laser therapy, dermabrasion,
shaving the scar down to the level of the skin, an operation to lift
a depressed scar, or treatment using injectable fillers. Your
specialist can also cut and re-stitch a scar in order to make it
less noticeable, or to lengthen contracted skin and increase the
range of movement in the area. The choice of scar removal method
depends on the size and location of the scar, whether it is raised
or depressed, and whether the aim is to reduce the appearance of the
scar or to minimise a physical problem that the scar is causing
(such as restricted movement). Your specialist will discuss the
advantages and disadvantages of each scar removal method to help you
decide which is best for you.
Anti-wrinkle Treatment By Injection
Wrinkles are caused by the skin losing elasticity as you age and
the long term effects of muscle contractions from smiling, frowning
and laughing. They are also worsened by sun damage and smoking.
Different injection methods are used to reduce wrinkles and give a
smoother, more youthful complexion. One method blocks the nerve
impulses that cause muscle contraction, effectively paralysing
certain facial muscles and smoothing the nearby skin. The injections
will gradually take effect over a week or two.
Another method to reduce wrinkles uses injectable fillers to smooth
and plump out wrinkles, crow 's feet, laughter lines, some types of
sunken scars, cheeks and lips. The filler is injected using a fine
needle, until your facial lines and wrinkles are 'filled out'.
Different substances are used as fillers. Some are permanent and
some are temporary. Some fillers are manufactured substances, and
others use your body 's own tissues, such as collagen, skin cells or
fat.
One technique to reduce wrinkles is Isolagen. This involves taking
skin from behind your ear and growing skin cells from it in a
laboratory. The cells are then injected into your skin where they
grow and make more collagen. The new collagen will help to fill out
wrinkles and indented scars and several treatments may be needed.
Anti-wrinkle injections are a simple and effective solution to
improve certain wrinkles. However, the effect of this temporary
improvement wears off gradually so you will need to repeat
treatments to maintain results. Your specialist will discuss the
advantages and disadvantages of the different treatment options to
help you decide which is best for you.
Laser
Treatment For Lines and Wrinkles
As we get older, our complexions inevitably become less smooth.
Lines, wrinkles and sun spots develop over time. Some people are
comfortable with these changes, others want to improve the
appearance of their skin. Laser wrinkle removal therapy can improve
your complexion by reducing the appearance of wrinkles.
During laser therapy, your specialist will use a hand-held laser to
remove the top layer of skin. For the best results, you may need a
course of treatments, or your specialist may recommend that you use
other treatments in combination with laser therapy.
After your wrinkle removal treatment, you'll be given careful
instructions on how to care for your skin while it heals itself. It
is very important to avoid sun exposure after treatment by wearing
sunblock for six months after treatment. If not, you can end up with
blotchy, unevenly tanned skin, particularly if you have olive, brown
or black skin. Your skin may be swollen and weepy for a few days,
and red for several weeks after treatment.
Laser wrinkle removal cannot produce the dramatic results of
surgical facelifts, but they can reduce the appearance of lines and
wrinkles. However, the effect wears off gradually so you will need
to repeat treatments to maintain results. Your specialist will
discuss the advantages and disadvantages of the different treatment
options to help you decide which is best for you.
Laser
and intense pulsed light (IPL) therapies for acne scars, injury
scars and skin blemishes
Many people have facial scars and blemishes that they would like to
reduce. Laser and intense pulsed light (IPL) therapy can provide an
effective acne scar treatment, as well as being a solution to
scarring due to injuries.
Laser and IPL therapies work by targeting intense light onto the
skin. Your specialist will focus the light onto the area around the
scar or blemish. The IPL or laser light then penetrates through the
upper layer of your skin, effectively 'burning' it off. The
treatment stimulates new skin to grow, and when the treated area
heals, the scar or blemish is usually much less noticeable than
before.
Following scar treatment by laser or IPL, your skin will be red and
weepy, and redness will probably persist for several weeks. You'll
need to use sunblock on the area for at least six months after
treatment. The full results of your laser or IPL treatment will not
usually be seen until 10-12 months afterwards. Your specialist may
also recommend further therapy six to 12 months after your first
treatment.
Lasers can cause an uneven colour in brown and black skins so the
treatment may not be suitable for people with these skin types.
The effectiveness of laser or IPL therapies for acne scar treatment
and skin blemishes depends both on your skin type and on the extent
and type of your scars. Often laser and IPL are used in conjunction
with other cosmetic procedures to achieve the best results. Your
specialist will advise if laser treatment is suitable for you.
Laser Treatment For Vascular Birthmarks
Many people are born with vascular birthmarks. These birthmarks are
made up of clusters of blood vessels near the surface of the skin
and may be pink, red or purple in colour. Many of these birthmarks
will shrink and disappear on their own with time but some
birthmarks, including port wine stains, persist and may thicken and
darken over time. Laser therapy can be used to treat many vascular
birthmarks, including port wine stains and strawberry birthmarks.
The treatment works by targeting intense light energy onto your skin
so that it destroys the red pigmentation.
Following laser treatment, your skin will feel hot, rather like
mild sunburn, and you may experience some bruising in the area.
You'll need to use sunblock for two to three months after your
treatment.
Usually you'll need a course of laser treatments for the best
effect. Laser therapy may not completely get rid of your vascular
birthmark, but it will usually make it significantly paler.
Laser Hair Reduction
Some people want to reduce the amount of body hair they have.
Intense pulsed light therapy (IPL) and laser therapy are two methods
that can achieve permanent hair reduction. Laser and IPL treatment
can permanently reduce large and small areas of body hair. Any areas
can be treated except those next to your eye. Many people use these
treatments to remove hair from their face, upper lip, chin, bikini
line, neck, chest, back, stomach, legs, armpits and around the
nipples.
Your specialist will perform the treatment by focusing the beam
from the laser or IPL device onto an area of your skin. The hair
follicle absorbs the light and heats up, destroying the hair and
preventing re-growth.
Following IPL or laser hair removal, you may be given an ice pack
to reduce redness and swelling, and you'll need to avoid direct
sunlight on the treated area for a while. The effectiveness of laser
hair removal treatment depends partly on your colouring, with the
best results occurring in people with dark hair and light skin.
However, laser treatment is not suitable for everyone, for example
it may not be suitable for people with very dark skin. IPL is
suitable for a wider range of skin and hair colours. An individual
treatment of IPL or laser therapy will thin out the hair, so for
best results you will need a series of treatments.
Chemical Peels
Many people want to improve the texture of their skin to reduce the
signs of ageing, scars or blemishes. Chemical peels can help to
restore a younger, fresher appearance by removing a layer of skin
with a chemical preparation. As the skin grows back, it is smoother
than before and imperfections are reduced.
There are various types of chemical peel - superficial, medium and
deep - and they achieve different results. Superficial chemical
peels are easy to apply and the time needed for healing is minimal,
but they won't achieve long lasting or dramatic results. Medium
chemical peels can achieve more dramatic and long lasting results
for blemishes, fine lines and facial scarring. A deep peel will help
reduce more severe facial wrinkles.
The selected peel will be applied to your face for an appropriate
amount of time and then it will be removed.
The recovery time depends on the type of peel you've had. It can
take a couple of weeks before you can resume normal activities after
a medium or deep peel and even after this time your skin may still
be quite red.
Your specialist will give you careful instructions on caring for
your skin as it heals, and it is important that you follow these
carefully to minimise the risk of complications. You will need to
wear sunblock while your skin recovers to avoid developing a blotchy
or uneven complexion.
All procedures carry risks as well as benefits.
Dermabrasion
Many people would like to improve the texture of their skin,
whether because of acne scars or other scars, sun spots or fine
facial wrinkles. Dermabrasion removes the top layers of skin, which
helps to reduce irregularities, resulting in a smoother appearance.
During dermabrasion your specialist 'sands' off the top layer of
facial skin, using a hand-held electrical machine with a small
abrading head. When the top layer of your skin grows back the new
skin is smoother and imperfections are reduced.
Initially, the treated area of skin will be bloody and crusted, and
it may remain pink, sensitive and swollen for several weeks after
treatment, but during this time you can gradually resume your normal
activities.
Although scarring with dermabrasion is rare, people with dark
complexions may develop permanently discoloured or blotchy skin.
Most specialists will not carry out dermabrasion if you have active
acne or a bad skin burn, or have had radiation treatments or a
chemical peel. This is because of the increased risk of infection
and damage to the skin.
Fat Transfer (Liposculpture)
In fat transfer, also known as liposculpture, fat is taken from one
area of your body, such as the thighs or stomach, and injected into
another area to fill it out.
Fat transfer can be used on your face to improve the appearance of
wrinkles, crow's feet, laughter lines, some types of scar, sunken
cheeks and other indented areas of skin. It can also be used to fill
out the back of your hands.
During fat transfer your specialist will identify a suitable donor
site and make a small cut in the area. A tube is then placed into
the incision site and fat is removed into a syringe. Fat cells are
then inserted into the destination area to create the desired
effect.
After the procedure, you'll need to wear a dressing over the area
for a few days. Although the results of liposculpture tend to last
longer than some temporary synthetic fillers, it is not a permanent
treatment and the fat will gradually be reabsorbed into the body
over time.
Liposculpture may be used in conjunction with other treatments such
as laser resurfacing or chemical peels to treat severe facial
wrinkles.
Split Earlobe Repair
Split earlobe repair is a surgical procedure to repair torn
earlobes. Earlobe tears are most common in people who wear pierced
earrings as these can easily be caught and pulled. Your surgeon will
remove any skin lining the split to create a raw edge, and will then
stitch the ear back together.
Earlobe repair is a relatively simple procedure performed under a
local anaesthetic, so you'll normally be able to return home later
the same day. However, you should expect some discomfort and
swelling after surgery and you may need to wear a dressing on the
ear for a few days. There may be some scarring after a split earlobe
repair, although this will generally fade over time and your
Consultant Surgeon will discuss this with you prior to your
procedure.
Tattoo
Removal
A number of methods are used to remove unwanted tattoos and the
best method for you will depend on the type and colour of your
tattoo. Dark colours (particularly blue and black inks) are more
difficult to remove and some modern pastel-coloured inks can also be
hard to break down.
Laser therapy is the most common method of tattoo removal. Your
specialist will focus an intense light beam onto the tattooed area
of skin, the laser light heats up the tattoo ink and breaks it down
into small fragments to be absorbed by the body. Multiple tattoo
removal treatments are often needed. Lasers can cause an uneven
colour in brown and black skins, so the treatment may not be
suitable for people with these skin types.
Dermabrasion is another method of tattoo removal where the top
layers of tattooed skin are 'sanded' off and dressings are used to
help absorb the ink. Again, a course of treatments is usually
needed.
Surgical excision, where your surgeon cuts out the tattoo, may also
be effective. This will always leave a scar and your specialist will
advise how noticeable this will be. It is important that you have
realistic expectations of your tattoo removal procedure. Results are
often good but, in some cases, it may not be possible to remove all
of the tattoo pigment from your skin. There will also be some
scarring whatever the method you use.
Tattoo removal and laser therapy are usually an out-patient
treatment. Surgical excision may require a general anaesthetic and
you should be able to go home later the same day.
Body Contouring For Women
The elements of a great figure, are proportion, tone, and contour.
Smooth curves without bulges. Balance between breasts, waist, hips,
buttocks and legs. Healthy, toned and dimple free skin. There have
been advances in cosmetic surgery over the past few years which have
revolutionized the way we can contour or reshape the breasts,
abdomen and other parts of the body.
In particular, suction techniques have replaced more extensive
surgery to remove unwanted fat. The success of body contouring,
whether to reduce, enlarge or lift is influenced by your age as well
as the size, shape and skin tone of the treated areas. Depending
upon your personal objectives and our recommendation, we can perform
one or a variety of procedures to give you the look you've always
dreamed about.
Exercise and dieting don't always lead to a perfect body. Even very
fit people can have problems with stubborn fat and, for example,
after having a baby it can be difficult to regain a good figure.
A good Consultant Cosmetic Surgeon understands how you feel, and
has the skills to bring out the best in you.
With The Taj Medical Group of Hospitals you are able to choose the
Consultant Cosmetic Surgeon who will carry out your operation. All
of our Consultants are fully trained and experienced in the latest
techniques, and are on the specialist register of the General
Medical Council and or are American Board Certified. Your chosen
consultant will take charge of your care - from your first
consultation, through to your operation and follow-up appointment.
Thigh
Lift and Buttock Lift
This operation reduces the amount of loose skin and fat on your
thighs and/or buttocks. When both thighs and buttocks are operated
on, it is sometimes known as a lower body lift.
Loose skin in these areas is most common after substantial weight
loss, which may result in loose, sagging skin that can't be improved
through regular physical activity and a healthy balanced diet. A
thigh lift and/or buttock lift will raise and tighten the skin.
For an inner thigh lift the plastic surgeon may make cuts high up
in the inner thighs, while for an outer thigh and buttock lift the
cuts may run just above your buttocks (so they won't show when
you're wearing a swimsuit). Excess skin and fat are removed through
the cuts and the remaining skin is stitched up. Sometimes the
operation is performed in combination with liposuction.
Thigh and buttock lift surgery is performed under a general
anaesthetic and you may need to stay in hospital for a day or two.
After a thigh lift or buttock lift, you'll need to wear a
compression garment to help reduce the swelling and assist in the
shrinking and tightening of the skin. There is always scarring after
the operation, although your Consultant Surgeon will do his or her
best to make scars as unobtrusive as possible. The position of the
scars will depend on where the surgical cuts have been made. Your
Consultant Surgeon will discuss this with you prior to your
operation.
Facial
Surgery For Women
When you're happy with the way you look, you're more confident and
generally feel better about yourself. You're more relaxed in social
situations, and even the little things, like looking at photos of
yourself, can become a pleasure.
So if there's something you want to improve about your face - even
if it's simply reversing some of the signs of ageing - any change
you make can have a remarkable effect on your life.
A sympathetic cosmetic specialist understands how you feel, and has
the skills to bring out the best in you.
With The Taj Medical Group of Hospitals, you are able to choose the
Consultant Cosmetic Surgeon who will carry out your operation. All
the consultant cosmetic surgeons who operate in The Taj Medical
Group of Hospitals are fully trained and experienced in the latest
techniques, and are on the specialist register of the General
Medical Council and or are American Board Certified. Your chosen
consultant will take charge of your care - from your first
consultation, through to your operation and follow-up appointment.
Eyelid Reduction (Blepharoplasty)
As you age the skin around your eyes loses its elasticity. You may
develop loose folds of skin on the upper eyelids and deepening
creases on the lower lids. As well as loose skin, the muscles in
this area slacken so that any fat bulges forward, giving the
appearance of bagginess.
Eyelid reduction, also known as blepharoplasty, is an operation to
remove the excess skin and/or fat from around your eyes so that you
have a more alert and youthful appearance. Eyelid reduction can be
carried out on the upper, lower or both eyelids.
During the blepharoplasty operation your plastic surgeon will make
cuts around the natural lines of your eyelids and remove the excess
skin and fat.
Eyelid surgery is usually performed under a general anaesthetic and
you will normally need to stay in hospital for one or two nights.
If you have eyelid reduction only the wrinkles on the area within
the bony margins of your eye sockets will be removed. Crow's feet
and other wrinkles around the area will not be improved by the
procedure. Dark colouring beneath the eyes is also not lightened by
eyelid reduction.
You will be advised to keep your head elevated for a few days after
eyelid surgery to minimise any swelling. Your eyes may be watery and
appear bruised for a few weeks after your operation. Any scarring
will be pink and visible for a few months, although eventually this
tends to fade and becomes almost invisible and your consultant will
discuss this with you prior to your operation.
Brow
Lift
A brow lift, also known as a forehead lift, is an operation to lift
the level of your eyebrows to a higher position. It can also help to
lift folds of skin that may hang over your eyes and smooth out frown
lines between your eyebrows, and reduce wrinkles you may have on
your forehead.
Brow lift surgery can be performed in several different ways, all
of which have advantages and disadvantages. One method, called a
coronal brow lift, involves your plastic surgeon making a cut across
the top of your scalp, hidden within your hair. Through the cut,
your surgeon removes excess skin, shortens the muscles that cause
frown lines and lifts your eyebrows.
Another technique uses small endoscopes ('keyhole surgery') which
are inserted through tiny cuts in your hairline, to reduce the
muscles that cause frown lines. This type of brow lift normally has
the advantage of minimal scarring, but your surgeon will not be able
to make as many changes as when a coronal brow lift is performed.
Each method requires a local or general anaesthetic and you'll
usually be able to return home later the same day. A brow lift or
forehead lift can give good long-term results, but you will need to
take care of your skin, including protecting it from sunlight. It is
also important that you are realistic about the results of a brow
lift and your plastic surgeon will discuss this with you prior to
your operation.
Chin Implant
If you feel that your chin is not in proportion to the rest of your
face, an implant can help to build out a recessive chin and improve
the appearance of your facial features. Chin implants are sometimes
performed at the same time as another operation to re-shape the
face, such as a facelift.
Recessive chins are built out either by moving the chin forwards or
by inserting an implant over the chin bone. During the operation
your plastic surgeon will usually make a cut inside your mouth
between your lower lip and gum and insert an implant to move your
chin forward. In some cases your consultant may advise that the
implant is inserted through a cut in the natural crease of your
chin. The implant is usually made of silicone or another
manufactured material, although sometimes it is necessary to use a
bone graft. Because the implant is inserted through the mouth, there
is not usually a visible scar. However, if a bone graft is used
there will be scarring in the area the graft is taken from - usually
the hip - and your consultant surgeon will discuss this with you
prior to your operation.
Chin implant surgery is performed under a general anaesthetic and
you'll usually be in hospital for one to two days.
Cheek Implants
Some people feel that their cheekbones are too flat and out of
proportion with the rest of their face. A surgical cheek implant can
raise the cheekbones and harmonise facial features. Cheek implants
are sometimes performed at the same time as a facelift. The
operation works by building on your existing bone structure,
carefully inserting the implant over the top. Your plastic surgeon
will usually insert the implant by making cuts inside your mouth
where your cheek joins your upper gum, sliding the implant through
these cuts. Another technique involves inserting the implant through
a cut in the lower eyelid. The material used for the implant is
usually silicone or another manufactured material that is tolerated
well by the body. However, it is sometimes necessary to use a bone
graft.
If the implant is inserted through the mouth, there is not usually
a visible scar. However, if a bone graft is used there will be
scarring in the area the graft is taken from - usually the hip - and
your consultant surgeon will discuss this with you prior to your
operation. Cheek implant surgery may be performed under a local or
general anaesthetic and you should be able to return home later the
same day.